摘要
目的:探讨国医大师邓铁涛治疗心悸辨证用药规律,探索数据挖掘技术辅助名医经验传承可行性。方法:收集邓铁涛辨治心悸的证型与处方,采用数据挖掘方法,统计证素、用药、药物组合频次,药物之间的关联,核心组合等。结果:高频证素有血瘀、气虚、痰浊;高频药物有甘草、茯苓、党参;核心组合为四君子汤合生脉散以及若干新方。结论:邓铁涛善于以健脾养心、化痰祛瘀治疗心悸,方选四君子汤、生脉散、天王补心丹等;数据挖掘技术有助于分析、总结名医临床经验。
Objective :This study was conducted to analyze and quantify DENG Tietao's clinical experience in treating palpita- tions in terms of common patterns of the disease and the corresponding Chinese medicinal combination rules while evaluating the feasibility of combining data - mining methods with Traditional Chinese Medicine empirical evidence studies. Methods : Twenty case histories and 67 prescriptions of patients diagnosed with palpitations and treated by DENG were reviewed. Data - mining methods were used to analyze patients' patterns identified by DENG and the prescribing frequencies of and combinations among medicinal herbs in his treatments. Results:Common patterns were blood stasis, qi deficiency, phlegm turbidity, while Sijunzi Decoc- tion combined with Shengmai Powder and a few other drug combinations were most common, with Gancao (Glycyrrhiza uralensis), Fuling(Poria cocos) and Dangshen (Condonopsis pilosula) most frequently prescribed by DENG. Conclusion:Strengthening the spleen,tonifying and nourishing heart blood, resolving phlegm and dispelling stasis were DENG's major therapeutics in treating palpitations, for which Sijunzi Decoction, Shengmai Powder and Tianwang Buxin Mini - Pills were his core formulae. Data - mining methods were helpful in analyzing and quantifying the clinical experience of Chinese medicine professionals.
出处
《辽宁中医杂志》
CAS
北大核心
2016年第9期1829-1832,共4页
Liaoning Journal of Traditional Chinese Medicine
基金
2014
2015年省级中医药服务能力建设专项经费资助(粤中医函[2014]263号)
国家级大学生创新创业训练计划项目(201410572027)
广州中医药大学第一临床医学院学生科技创新研究项目(yy2014013)
2015年广州中医药大学第一附属医院教育教学研究项目资助(1502)
关键词
心悸
关联规则
聚类算法
邓铁涛
palpitations
association rules
clustering algorithm
DENG Tietao